Skip Navigation LinksHome > July 2014 - Volume 22 - Issue 4 > Achromobacter xylosoxidans—An Unusual Cause of Monomicrobial...
Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e31829104d1
Case Reports

Achromobacter xylosoxidans—An Unusual Cause of Monomicrobial Nonneutrocytic Bacterascites: A Case Report

Srinivas, Jampala MD*; Dinesh, Kavitha R. MD*; Kumar, Anil MD*; Siyad, Ismail MD, DM; Karim, Shamsul MD*

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Abstract

Monomicrobial nonneutrocytic bacterascites and spontaneous bacterial peritonitis (SBP), the variants of ascitic fluid infection, are commonly seen in association with liver cirrhosis. Monomicrobial nonneutrocytic bacterascites may progress rapidly to SBP resulting in increased morbidity and mortality in advanced liver cirrhosis with portal hypertension. The most common pathogens associated with both conditions are gram-negative bacilli like Escherichia coli and Klebsiella pneumoniae followed by gram-positive bacteria. We present a case of monomicrobial nonneutrocytic bacterascites in a chronic alcoholic patient with advanced liver cirrhosis, due to an unusual pathogen, Achromobacter xylosoxidans. This case is remarkable as A xylosoxidans is not associated with SBP until now as per available literature.

Copyright © 2013 by Lippincott Williams & Wilkins

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